Frequently Asked Questions

  • Tick Bite Telehealth provides focused online care for recent tick bites, early Lyme concerns, Lyme and tick-borne/vector-borne disease testing , and chronic or unexplained symptoms where tick-borne illness may be contributing.

    Visits may include tick-bite risk assessment, rash/photo review, symptom evaluation, prevention guidance, testing strategy, and treatment or referral when clinically appropriate.

  • This service is for patients who are physically located in a state where Dr. Jade Stefano is licensed and able to provide telehealth care.

    It may be appropriate if you recently had a tick bite, developed a new rash after possible tick exposure, are concerned about early Lyme disease, or want help deciding whether Lyme or other vector-borne infections could be contributing to chronic symptoms.

  • Care is currently available for patients physically located in Washington and Vermont.

    Arizona, Oregon, and Hawaii are expected to be added in the coming months. Please check back for updates.

  • Yes. You must be physically located in a state where Dr. Stefano is licensed and able to provide telehealth care at the time of the visit.

  • This visit is for recent tick bites with no rash or symptoms, ideally within 72 hours of tick removal. The goal is to assess exposure risk quickly and decide treatment is clinically appropriate, to prevent Lyme disease from causing illness and infection

    Appointments are generally available within 24–48 hours, including some evenings and weekends. If possible, save the tick in a sealed ziplock bag for possible testing.

  • Timing matters because early evaluation and treatment may reduce the chance of contracting Lyme disease and persistent symptoms after a tick bite. The sooner risk is assessed, the easier it is to decide whether prevention, monitoring, testing, or treatment is appropriate. While early intervention is best, it is never too late. For example, if you had a rash after a tick bite that then goes away, that does not mean you are in the clear. You should still be treated for Lyme, as the rash was a sign that are were infected, the while the bacteria is no longer causing signs on the skin , it is likely deeper in your body and still needs treatment.

  • Medication is often prescribed after a tick bite to prevent illness, when clinically appropriate after an individualized evaluation. Treatment decisions depend on timing, exposure risk, symptoms, medical history, allergies, pregnancy status, contraindications, medication interactions, and clinical judgment. Our physicians have prescribing rights in all the states that we operate.

  • If you have a new or recent rash after a known or suspected tick bite, the Early Lyme Care visit may be more appropriate than the prevention visit.

    Lyme rashes are not always shaped like a bull’s-eye. They may appear uniform, oval, expanding, blotchy, purple, warm, or atypical.

    If you know you were bit by a tick and a rash develops around the area you have almost certainly been infected with Lyme and need prompt treatment to avoid systemic or chronic illness. Watching and waiting for symptoms to appear can lead to worse outcomes and more difficult treatment

  • The visit includes rash/photo review, symptom assessment, and individualized treatment planning when clinically appropriate. A follow up visit is recommended in 30 days.

  • This service is not appropriate for emergency or severe symptoms such as chest pain, fainting, severe headache, neck stiffness, facial weakness, shortness of breath, irregular heartbeat, high fever, severe neurologic symptoms, rapidly worsening illness, or severe weakness.

    These symptoms may require urgent in-person care or emergency evaluation.

  • Yes, but chronic or complex cases require a more comprehensive visit. This may be appropriate for patients with persistent or relapsing symptoms such as fatigue, brain fog, joint or nerve pain, dysautonomia/POTS, MCAS-like symptoms, sweats, air hunger, palpitations, mood changes, sleep disruption, Long COVID overlap, or unexplained illness.

    Complex cases may require longer visits, testing strategy, follow-up care, and referral through DoctorJade.com or another appropriate specialist.

  • Yes. Testing guidance may be part of a visit when clinically appropriate. Testing options may include specialty laboratories such as IGeneX, TLab, Galaxy Diagnostics, Vibrant Wellness, or other labs depending on the clinical picture, state availability, budget, and testing goals.

    We also offer testing only visits for people looking for answers for there chronic symptoms.

    Testing is not always straightforward and must be interpreted in the context of symptoms, exposure history, immune function, timing, prior treatment, and clinical presentation.

  • Yes. Early Lyme testing may be negative, especially soon after exposure or early in the illness. Testing is only one part of the clinical picture. Rash, symptoms, exposure history, timing, and clinical judgment are often more important than test results and Lyme is often diagnosed clinically, without positive test results. All Lyme rashes should be treated regardless of test results.

  • Evaluation for co-infections may be included when clinically appropriate. These may include Babesia, Bartonella, Anaplasma, Ehrlichia, relapsing fever Borrelia, Rickettsia, and other vector-borne infections.

    Complex co-infection cases may require a comprehensive consultation rather than a rapid tick-bite visit.

  • Tick Bite Telehealth lists cash-pay prices for fast access. Insurance billing is available for eligible visits through Jade Medicine PLLC, including select Premera, BCBS and Kaiser PPO plans.

    Coverage depends on your specific plan, state, visit type, medical necessity, and whether insurance billing is confirmed before the visit. If insurance is used, your cost is determined by your plan, not the cash-pay pricing listed on this site. An estimated patient responsibility of $150 is collected at the time of appointment confirmation. This estimate is to your co-pay, co-insurance, deductible, or patient responsibility as determined by your insurance company once the claim is processed. Over payments will be refunded and additional patient responsibility will be charged to the card on file.

  • If possible, save the tick in a sealed ziplock bag. Do not crush it, freeze it or put it in alcohol, although if you already did this it still may be usable. Bring or upload clear photos if requested. Tick testing may be discussed when appropriate, but treatment decisions do not always depend on tick testing. We recommend ticks be sent to www.ticklab.org for their most complete panel

  • If you have a rash or bite site concern, upload clear photos in good lighting. Take one close-up photo and one photo from farther away to show size and location. If the rash is changing, take photos daily.

  • No. Tick Bite Telehealth is not an emergency service. If you have severe or rapidly worsening symptoms, chest pain, fainting, shortness of breath, severe headache, neck stiffness, facial weakness, irregular heartbeat, high fever, confusion, or other urgent symptoms, seek in-person urgent care or emergency evaluation.